PACIFIC NORTHWEST RENAL SERVICES, L.L.C. (NPI# 1154423317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154423317 |
Entity Type | Organization |
Organization Name | PACIFIC NORTHWEST RENAL SERVICES, L.L.C. |
Practice Address |
9105a Ne Hwy. 99 Ste. 102 Vancouver WA 98665 |
Practice Telephone | 3605761350 |
Enumeration Date | 2006-09-01 |
Last Update Date | 2017-12-05 |
Authorized Official Name | MARK FAWCETT (SVP / TREASURER) |
Authorized Official Telephone | 7816999000 |
Is Organization Subpart | Y |
Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | PTAN | 502524 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265855696 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 3921 Sw 13th Ave, Battle Ground, WA 98604-2807 | 2014-01-21 |
1992895494 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 345 Se Norton Ln, Mcminnville, OR 97128-8480 | 2006-10-13 |
1083716401 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 15201 Nw Greenbrier Pkwy, Beaverton, OR 97006-5771 | 2006-09-05 |
1073625976 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 632 Marine Dr, Astoria, OR 97103-5838 | 2006-08-31 |
1164534061 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 10601 S Walton Rd, La Grande, OR 97850-8488 | 2006-08-31 |
1437261336 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 13560 Se 97th Ave, Clackamas, OR 97015-7691 | 2006-08-31 |
1528170420 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 7780 Sw Mohawk St, Tualatin, OR 97062-9191 | 2006-08-31 |
1083726988 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 2701 Nw Vaughn St Ste 150, Portland, OR 97210-5379 | 2006-08-31 |
1891807798 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 4905 Ne Martin Luther King Blvd., Portland, OR 97211-0000 | 2006-08-31 |
1255443156 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 2824 Ne Wasco St, Portland, OR 97232-1772 | 2006-08-31 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | PACIFIC NORTHWEST RENAL SERVICES, L.L.C. | 920 Winter Street, Tax Department, Waltham, MA 02451 |
Washington State Corporations | PACIFIC NORTHWEST RENAL SERVICES, L.L.C. | 920 Winter St, Waltham, MA 02451-1521 |
Street Address |
9105A NE HWY. 99 STE. 102 |
City | VANCOUVER |
State | WA |
Zip Code | 98665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
1255811196 | Rachael Hickert | Counselor | 1179 Northeast 95th Street, Vancouver, WA 98665 | 2018-08-20 |
1063899011 | Edward Michael Borromeo | Massage Therapist | 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 | 2015-04-29 |
1033460811 | Gretchen Ann Bell | Speech-Language Pathologist | 511 Ne Anderson Road, Vancouver, WA 98665 | 2012-09-20 |
1831322379 | Diana Miriam Copeland | Massage Therapist | 517 Ne 85th Cir, Vancouver, WA 98665 | 2009-09-01 |
1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
1053409961 | Richard C. Sheron Dmd Ps | Dentist | 1200 Ne 99th Street, Vancouver, WA 98665 | 2006-10-10 |
1316048887 | Frank Roberts Mossman | Optometrist | 7600 Hazeldell Ave, Vancouver, WA 98665 | 2006-09-26 |
Find all providers in zip 98665 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790897692 | Pacific Northwest Renal Services LLC | Clinic/Center | 312 Se Stone Mill Dr, Suite 150, Vancouver, WA 98684-3545 | 2006-08-31 |
1467470369 | Total Renal Care Inc | Clinic/Center | 9120 Ne Vancouver Mall Dr, Vancouver, WA 98662-9401 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811504277 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 2405 West Washinton Ave, Yakima, WA 98903 | 2020-09-29 |
1447867247 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 200 Westerly Rd Ste 104, Bellingham, WA 98226-6489 | 2020-09-25 |
1720690506 | Total Renal Care Inc | Clinic/Center | 16290 Auto Ln, Sumner, WA 98390-2568 | 2020-08-21 |
1801404124 | Northwest Kidney Centers | Clinic/Center | 1010 Se Everett Mall Way Ste 104, Everett, WA 98208-2855 | 2020-07-22 |
1134768088 | Renal Care Group Northwest, Inc. | Clinic/Center | 19663 Sr 410 E, Bonney Lake, WA 98391-5202 | 2019-12-24 |
1932757093 | Northwest Kidney Centers | Clinic/Center | 4401 S Trenton St, Seattle, WA 98118-4923 | 2019-08-30 |
1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
1861981177 | Northwest Kidney Centers | Clinic/Center | 501 S 336th St Ste 110, Federal Way, WA 98003-6745 | 2018-05-02 |
1063901379 | Northwest Kidney Centers | Clinic/Center | 6021 12th St E Ste 100, Fife, WA 98424-1399 | 2018-05-02 |
1255838694 | Franciscan Health System | Clinic/Center | 19420 State Route 410 E, Bonney Lake, WA 98391-8472 | 2018-04-11 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.